Impact of Dance or Music and Meditation on the Progression of Parkinson Disease With Mild or Moderate Severity: Protocol for a Pilot Randomized Controlled Trial.

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES JMIR Research Protocols Pub Date : 2024-10-29 DOI:10.2196/59018
Bhagyashree Mehrotra, Neha Rai, Rajani Mr, Aparna Budhakar, Ritika Aggarwal, Raj Vinodkumar Agarbattiwala, Mona Thomas, Sampada Patole, Paresh Doshi
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Abstract

Background: Parkinson disease (PD) is a progressive neurodegenerative disorder characterized by motor dysfunctions and nonmotor symptoms. Current treatments do not alter disease progression, highlighting the need for alternative therapies. Music, dance, and mindfulness meditation have shown the potential to improve symptoms and quality of life in patients with PD.

Objective: This study aims to evaluate the effectiveness of dance or music and meditation on PD progression, cognitive functions, mood, behavior, and caregiver burden.

Methods: This study is a single-blinded, longitudinal, parallel, randomized controlled trial. The participants consist of 30 patients with mild to moderate PD residing in Mumbai, India, who can physically participate in the activities. The exclusion criteria include advanced PD, severe balance issues, age >80 years, and other movement disorders. Participants in the intervention group will engage in dance or music sessions and guided meditation thrice weekly for 6 months. The control group will continue their usual activities and medication. The primary outcome is the progression of PD symptoms, measured using the Unified Parkinson's Disease Rating Scale I-III, and quality of life, measured using the Parkinson's Disease Questionnaire-39. The secondary outcomes include cognitive functions (Mini-Mental State Examination), mood (Beck Depression Inventory and Parkinson Anxiety Scale), mobility (timed up and go and Berg Balance Test), behavioral disorders (Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease Rating Scale), and caregiver burden (Zarit Burden Interview and Parkinson's Disease Questionnaire-Carer).

Results: Data collection was completed in February 2024, with 28 participants finishing the study (intervention group: n=15, 54% and control group: n=13, 46%). Data analysis is underway, with results expected to be published in December 2024.

Conclusions: This study aims to provide significant insights into the effectiveness of dance or music and meditation in improving the quality of life and slowing the progression of PD. The findings are anticipated to support using these nonpharmaceutical therapies as complementary approaches to managing PD.

Trial registration: CTRI/2023/03/051064; https://tinyurl.com/2xdus53j.

International registered report identifier (irrid): DERR1-10.2196/59018.

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舞蹈或音乐与冥想对轻度或中度帕金森病进展的影响:随机对照试验方案》。
背景:帕金森病(PD)是一种进行性神经退行性疾病,以运动功能障碍和非运动症状为特征。目前的治疗方法无法改变疾病的进展,因此需要替代疗法。音乐、舞蹈和正念冥想已显示出改善帕金森病患者症状和生活质量的潜力:本研究旨在评估舞蹈、音乐和冥想对帕金森病进展、认知功能、情绪、行为和护理负担的影响:本研究是一项单盲、纵向、平行、随机对照试验。参与者包括 30 名居住在印度孟买的轻度至中度帕金森病患者,他们都可以参加活动。排除标准包括晚期帕金森病、严重平衡问题、年龄大于 80 岁以及其他运动障碍。干预组的参与者将参加舞蹈或音乐课程以及冥想指导,每周三次,为期 6 个月。对照组将继续其常规活动和药物治疗。主要结果是帕金森病症状的进展(使用帕金森病统一评定量表 I-III 进行测量)和生活质量(使用帕金森病问卷-39 进行测量)。次要结果包括认知功能(迷你精神状态检查)、情绪(贝克抑郁量表和帕金森焦虑量表)、行动能力(定时起立和走动和伯格平衡测试)、行为障碍(帕金森病冲动-强迫障碍评定量表问卷)和照顾者负担(Zarit负担访谈和帕金森病问卷-照顾者):数据收集工作已于 2024 年 2 月完成,28 名参与者完成了研究(干预组:15 人,占 54%;对照组:13 人,占 46%)。目前正在进行数据分析,预计将于 2024 年 12 月公布结果:本研究旨在就舞蹈、音乐和冥想在提高生活质量和减缓帕金森病进展方面的有效性提供重要见解。预计研究结果将支持使用这些非药物疗法作为控制帕金森病的辅助方法:CTRI/2023/03/051064;https://tinyurl.com/2xdus53j.International 注册报告标识符 (irrid):DERR1-10.2196/59018。
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CiteScore
2.40
自引率
5.90%
发文量
414
审稿时长
12 weeks
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